Organization
KELLY K. OMALIA MD INC.
Active
Other names
BRISTOLVILLE FAMILY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KIRSTEN O'MALIA MD (PRESIDENT)
(330) 889-9009
Entity
Organization
Contact information
Practice address
6265 STATE ROUTE 45, BRISTOLVILLE, OH 44402-8728
(330) 889-9009
(330) 889-9278
Mailing address
6265 STATE ROUTE 45, PO BOX 280, BRISTOLVILLE, OH 44402-0280
(330) 889-9009
(330) 889-9278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35073030
OH
Other
Enumeration date
05/31/2005
Last updated
02/11/2009
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